510: Generalist Practice 1

Practice Theory

What we know about human behavior and social organization and sets goals based on those assumptions and the outcome of the process to reach the goal

The Medical Model

study, diagnosis, treatment, and evaluation. assumes that their is something that is wrong that needs treatment, objectivies cilent

How would the Medical Model describe someone with bipolar?

Bipolar

Oppression Psychology

prolonged exposure to oppression can lead to internalization and negative mental health effects

Symbiotic

The mutual needs of people and the systems that matter to them.

Social Work Mission

promoting and restoring a mutually beneficials interaction between people and society in order to improve quality of life

Generalist Practice

multidimensional orientation that acknowledge interrelatedness and leads to multilevel assessments and treatment

Interaction Model

dynamic interaction where interaction are effected by movement to movement actios

How does the worker treat the cient in the interaction model

works WITH the client not ON the client

What are Some Practice Skills

• Reaching inside silence

• Putting feelings into words

• supporting taboo

• displaying understanding of feelings

• clarifying the workers role to client

• Accepting client feedback

• breaking donw things into smaller bites

Evidence Based Practice (EBP)

workers make decisions in light of the best research that informs decsions

What is a micro example of EBT?

CBT, DBT, ACT, EMDR. Types of therpy

What are Mezzo of EBT?

pyschoeducation supports group, community reinforcement

What are Macro of EBT?

restorative justice, housing models, community based participatory research

The 5 A’s of EBT

1) Asking critical questions

2) Acquiring evidence

3) Appraising and assessing the evidence

4) Applying the best evidence to make an action plan that works

5) Assessing the outcomes of the action taken

NASW Code of Ethics

1) Service

2) Social Justice

3) Integrity

4) Importance of Human Relationships

5) Dignity and Worth of the Person

6) Competence

Scaling

follow up questions that precipitate change (stairs, numbers, pictures, etc)

What does the strength-based perspective assume about people?

all people have strength, and that all environments, even bleak ones, are resources

Tools for a Strength Based Approach

Motivational interviews

What does the strength based approaches not assume?

assumes the worker does not know the upper limits of people’s capacity to grow and change

Constructivist View

The worker enters the client’s world and explores that subjective world and the cilent’s ideals of their issues and that definition is the key to change

Drawbacks of Strength Base

1) Overemphasis on Positivity

2) Risk of Ignoring Systemic/Structural Inequalities

3) Broad Principles may lead to ambiguity in practice

4) Incompatibility w bureaucratic and profit-driven systems

5) Lack of Evidence

What is Section 1 of the DSM

how medical professionals should use the book in their practice. Also provides guidance on using DSM

What is Section 2 of DSM

Largest Section. Covers the types of conditions with the specific conditions defined, criteria for diagnosis etc

What is section 3 of DSM

Emerging Measures of Models. Information on specific assessment tools that provide diagnostic guidelines. Also provides cultures differences

NASW Core Vaues

1) Service

2) Social Justice

3) Dignity and Worth of the Person

4) Importance of Human Relationships

5) Integrity

6) Competence

What should you do before a client to tune in?

You should be self-aware of the biases you hold, and the feelings you are in the moment before going in, then imagining what the client could be experiencing coming in which is a preemptive empathy, then ground yourself, breathe, regulate so you can show up

What should you do during a session to tune in?

Have attentive body language, actively listen, and show that to the client, respond with warmth, and have an emotional presence, being culturally aware of the client, and then verbally having behaviors that help

What is arguably the most important skill for turning a session at the beginning?

providing direct responses to indirect communication

Use of self

therapist explicitly/implicitly share w the client